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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >Longitudinal Predictors of Behavioral Intentions and HIV Service Use Among Men Who Have Sex with Men
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Longitudinal Predictors of Behavioral Intentions and HIV Service Use Among Men Who Have Sex with Men

机译：行为意图的纵向预测因子和与男性发生性关系的人的艾滋病毒服务使用

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HIV prevention interventions are generally effective at reducing sexual risk. Although these interventions have been widely disseminated in the USA, their success depends largely on whether subpopulations who have been prioritized for risk reduction are willing to participate. Understanding the factors predicting service utilization is critical to maximizing public health benefit. HIV-negative men who have sex with men (MSM) (n = 613) were enrolled in a longitudinal study investigating whether theoretically derived psychosocial variables (past behavior, cues to action, perceived susceptibility, positive expectations, perceived barriers, personal discomfort, and recent condomless anal intercourse) predicted intentions to use HIV prevention services and service use behavior across multiple categories (information seeking, structured service use, HIV testing, and volunteering/working in prevention services). Cues to action (including life events such as friend's recent HIV diagnosis) and past service use emerged as the most consistent predictors of intentions and actual service use. Perceived susceptibility, positive expectations, and condomless anal intercourse predicted some categories of service use indirectly through intentions. Contrary to predictions, perceived barriers and personal discomfort predicted intentions but were not predictors of service use. Intentions generally predicted behavior, with the exception of structured service use. This study addressed methodological limitations of prior research and utilized data from a longitudinal sample of MSM to discover predictors of access to HIV prevention services. Understanding who accesses HIV services and why will allow for directed strategies to improve dissemination and utilization.
机译：艾滋病毒预防干预措施通常有效减少性风险。虽然这些干预措施在美国被广泛传播，但他们的成功主要取决于是否有针对性的群体是否愿意降低风险减少。了解预测服务利用的因素对于最大化公共卫生利益至关重要。与男性（MSM）（MSM）（N = 613）发生性关系的艾滋病毒阴性男性在调查理论上衍生的心理社会变量（过去的行为，提示行动，感知易感性，积极的期望，感知障碍，个人不适，以及个人不适最近的通用肛交）预测在多个类别使用艾滋病毒预防服务和服务使用行为的意图（寻求，结构化服务使用，艾滋病毒检测以及预防服务志愿者/工作）。提示采取行动（包括朋友最近的艾滋病毒诊断等生活事件）和过去的服务用作意图和实际服务使用的最一致的预测因子。感知易感性，积极的预期和静止肛交，通过意图间接地预测了一些类别的服务。与预测，感知障碍和个人不适相反，预测意图，但不是服务使用的预测因素。意图通常预测行为，除了结构化服务使用。本研究解决了现有研究的方法论局限性和使用来自MSM的纵向样本的数据，以发现可预测艾滋病毒预防服务的访问。理解谁访问艾滋病毒服务以及为什么将允许指导的策略来改善传播和利用。

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